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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1519052



Case Details

VAERS ID: 1519052 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-01-25
Onset:2021-02-08
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Alopecia, Discharge, Muscle injury, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Accidents and injuries (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Absolutely None! only dietary supplements: Vitamin E, Vitamin C, Vitamin D-3, Vitamin K-2, Vitamin B Complex, Niacin, Fish Oil, Calcium Magnesium and Zinc
Current Illness: None!!!!
Preexisting Conditions: None!!!!
Allergies: Penicillin
Diagnostic Lab Data: None!!!
CDC Split Type:

Write-up: On January 25, 2021, My father who was 72 years old at the time, received his first Moderna Covid 19 vaccine at the Clinic. At the time of the vaccine he was a healthy, very active man. He works everyday as a ranch hand and cattle feeder 7 days a week. He does not and never has taken any prescription medications that would give us any suspicions of a reaction with those. He takes vitamin supplements to stay healthy, which is why he does not need or use prescription medications. Upon receiving this Covid-19 vaccine in his left arm, he noticed an immediate muscle soreness, which he thought was to be expected with a shot. This soreness or "achiness" that he describes in his left arm has never went away, even to this very day. He believes that these series of Moderna Covid-19 vaccines has permanently "damaged" the muscle in his arm. His left arm muscle aches every single day, all day long. On February 23, 2021 he received his second Moderna Covid-19 shot again in his left arm. Two weeks after his first Covid-19 vaccine shot, he went to get a haircut. His beautician and also my father noticed that his hair seemed to be getting a little thinner. Around the second week of March, two weeks after his second Moderna Covid-19 vaccine, he began to notice massive amounts of hair falling out. His hair brush was full of hair and he could literally run his hands through his hair and get a handful of hair immediately. This went on for weeks and months until around May 2021 when there was no more hair to fall out. He was completely bald. He looks like a "Chemotherapy patient NOW! He has always been a very excessive hairy man. He always could grow a full beard, mustache and side burns. He has always had massive belly and chest hair where there was no definite line between his chest hair and his beard. Hairy arms and legs, hair in his ears and nostrils. At this point and time (July 29, 2021) as I am filling out this form, My father, has also told me that In the last month he has NOW also lost about 90% of his eye brows and eye lashes. What few eye lashes he does have left, have dried discharge on them (similar to when a person has pink eye). His long, thick chest hair is starting to thin and quite a bit of his arm hair has fallen out also (50 % loss). He has small bald spots on his arms. The hair on his legs fell out probably started falling out about the same time as the hair on his head (95 % loss). He says the skin on his legs are now super smooth and soft just like " babies skin" as he has told me. This condition he has is very similar to "Alopecia" but has not been confirmed by a dermatologist yet. A gentleman who lives in the very same small town as my father, has had the same reaction to the his series of Moderna Covid-19 vaccine, "COMPLETE HAIRLOSS". I would hope that you will ask for photos of my fathers adverse reaction to your vaccine and that these very serious complaints be documented and publicized to the public.


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